Laparoscopic hernia repair and resection of the small bowel were performed in a 78-year-old woman with a strangulated obturator hernia. The hernia orifice was closed primarily by intracorporeal interrupted sutures, as a result of caution to prevent infection with mesh. To minimize the size of the skin incision, the intestinal resection and entero-anastomosis were performed intracorporeally. The postoperative recovery was uneventful. We consider that laparoscopic obturator hernia repair with intracorporeal bowel resection and anastomosis should be considered as a method of choice in some cases, in order to minimize the risk of morbidity and mortality.
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